A school-based program to increase seatbelt use

To improve rates of seatbelt use in young school children and their parents, a curricular intervention was evaluated in a before-after trial over a 15-week period. A public school for pre-kindergarten through second grade (ages 4 to 8 years) in Yonkers, New York, was studied; all of 422 students were included and finished the study. A sequential group of parent drivers were also evaluated, although they were not subject to active intervention. All students were involved in a month-long curricular intervention to raise their awareness of seatbelt use and car safety ("May is Buckle-up Month"). Independent professional observers measured seatbelt use in a nonblinded manner before the intervention, after the intervention, and 1 month after the intervention. Belt use among students increased from 46% to 66% (P less than .01), and stayed at 63% at follow-up, although boys showed an insignificant change. Parent use improved from 47% to 61% (P less than .01), and remained at 62% at follow-up. Intensive curricular exposure to the use of seatbelts can measurably improve the use of belts by young school children. Parental behavior also shows a marked improvement. Such interventions can be organized by community health practitioners, including those in full-time practice, with minimal funding.